How soon after an open rhinoplasty can I have a minor rasping revision performed? (Photo)

Generally patients are advised to avoid secondary surgery until  one year after the primary rhinoplasty.  Your pictures Indicate a dorsal fullness which is likely cartilaginous and maybe a little bone.   Secondary surgery may involve rasping and dorsal cartilage reduction.    

in general revisions of the tip or any procedure where the nose has to be opened up should wait a year.  however rasping a hump can be done through a small incision inside the nose without any effect on the tip and could be considered as early as 8 months after surgery.  it is a minor procedure that I do in the office with local anesthesia and light sedation.  I have also seen small humps improve for at least 6 months.

At only 2 months postop from rhinoplasty, you are still very early in your recovery with a tremendous amount of swelling in your nose.  The swelling will resolve in a progressive fashion over months in the direction of gravity: the upper third will resolve in about 3 months, the middle third in about 6 months, and the tip in 9 - 12 months.  In general, it takes a full year to see the final result.  It is too early to judge the appearance at this point, as swelling likely is a big component of what you see.  The skin has memory from before your hump was removed and requires time to shrink down as the swelling resolves.  If the hump is structural in nature, it likely is too low on the bridge of the nose to be the nasal bones and would more likely be the cartilage portion of a hump.  If a revision is required, it would be best to wait until you are 1 year postop.  In the meantime, I would recommend following up with your rhinoplasty surgeon to discuss any concerns you may have throughout the healing process.  Only he/she will know exactly what was done during your operation.  Good communication between patient and surgeon both before and after surgery is very important.  Best of luck in your recovery!
Ziyad Hammoudeh, MD

The residual bump is cartilage and not bone. Rasps are for removing bone and will not improve your bump. It will require sharply cutting and removing the portion of the septum causing this bump. It is best to wait a full 12 months before pursuing revision. 

 It's probably best to wait at least 10 to 12 months to  allow full healing to occur before embarking on another procedure. It's also important to allow all the swelling to come down and address whatever minor asymmetries  that are present at that time

You may need more rasping of the bones, but likely some of this is cartilage which may need to be directly trimmed. I would give it a year for the soft tissues to settle down.

It does appear as though you have a residual hump on your nose but even though it feels hard, there may still be some swelling.  It is not a good idea to go back and rasp for at least six months and preferably 9 months to allow complete healing to occur before inflicting additional surgical trauma.